Grenier, Marlene E

Grenier, Marlene E is an individual health care provider with primary practice located at 12902 Usf Magnolia Dr , Tampa FL 33612-9416. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Grenier, Marlene E can be contacted via phone (813) 745-4673.

Contact Information

Primary practice address
12902 Usf Magnolia Dr Tampa FL 33612-9416
Phone: (813) 745-4673
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 198031 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9239323 Florida

Profile Details

NPI number 1629041918
LBN Legal business name Grenier, Marlene E
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jan 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629041918 NPPES
Florida Other Y103G BLUE CROSS BLUE SHIELD
Florida MEDICAID 0369641 BLUE CROSS BLUE SHIELD

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